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InfluenzaPhase 2NCT00540592

Immunogenicity and Safety Study to Evaluate Different Formulations of GSK Biologicals' Influenza Vaccine GSK576389A

A Phase 2 study testing GlaxoSmithKline Biologicals' influenza vaccine GSK576389A and Fluarix in people with Influenza, run by GlaxoSmithKline at 30 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In order to find the formulation leading to a maximal increase of the immune response while maintaining an acceptable safety profile, this study is designed to evaluate the immunogenicity, safety and reactogenicity of the different formulations of GSK Biologicals' influenza vaccine administered in adults aged 65 years… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Influenza
What is being tested?
GlaxoSmithKline Biologicals' influenza vaccine GSK576389A and Fluarix
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,007 participants
Where
30 sitesin 4 countries
Study dates
8 Oct 2007to 10 Jun 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects who the investigator believes that they can and will comply with the requirements of the protocol should be enrolled in the study.
  • A male or female aged 18-40 years old or 65 years or older at the time of the vaccination.
  • Written informed consent obtained from the subject.
  • Free of an acute aggravation of the health status as established by clinical evaluation (medical history and medical history directed examination) before entering into the study.
  • If the subject is female, she must be of non-childbearing potential or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to vaccination, have a negative pregnancy test and continue such precautions for 2 months after completion of the vaccination series.

Who cannot join

  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days prior to vaccination, or planned use during the study period.
  • Administration of other licensed vaccines within 2 weeks (for inactivated vaccines) or 4 weeks (for live vaccines) prior to enrolment in this study.
  • Planned administration of a vaccine not foreseen by the study protocol during the entire study period.
  • Planned administration of an influenza vaccine other than the study vaccines during the entire study period.
  • Vaccination against influenza since January 2007 (with 2007/2008 or 2006/2007 influenza vaccine).
  • Administration of more than 14 days of immunosuppressants or other immune-modifying drugs within 6 months prior to the administration of the study vaccine.
Show all 14Show fewer
  • Any confirmed or suspected immunosuppressive or immunodeficient condition, based on medical history and physical examination
  • Hypersensitivity to a previous dose of influenza vaccine.
  • Allergy to any component of the vaccine.
  • Acute (active) clinically significant pulmonary, cardiovascular, hepatic or renal functional abnormality.
  • Acute disease at the time of enrolment. (Acute disease is defined as the presence of a moderate or severe illness with or without fever. All vaccines can be administered to persons with a minor illness such as diarrhoea, mild upper respiratory infection with or without low-grade febrile illness, i.e. axillary temperature<37.5ºC (99.5ºF).
  • Administration of immunoglobulins and/or any blood products within the three months preceding the first administration of the study vaccine or planned administration during the study.
  • Any medical conditions in which IM injections are contraindicated.
  • Lactating female or female planning to become pregnant or to discontinue contraceptive precautions

Trial locations and contacts

30 sites in 4 countries.

30 sites in 4 countries

Germany20 sites
  • GSK Investigational Site

    Augsburg, Bavaria, 86150

  • GSK Investigational Site

    Berlin, 10435

  • GSK Investigational Site

    Berlin, 12627

  • GSK Investigational Site

    Berlin, 13347

  • GSK Investigational Site

    Berlin, 13359

  • GSK Investigational Site

    Cologne, North Rhine-Westphalia, 51069

  • GSK Investigational Site

    Dresden, Saxony, 01067

  • GSK Investigational Site

    Essen, North Rhine-Westphalia, 45359

  • GSK Investigational Site

    Freital, Saxony, 01705

  • GSK Investigational Site

    Güglingen, Baden-Wurttemberg, 74363

  • GSK Investigational Site

    Hamburg, 22335

  • GSK Investigational Site

    Hamburg, 22415

  • GSK Investigational Site

    Leipzig, Saxony, 04103

  • GSK Investigational Site

    Magdeburg, Saxony-Anhalt, 39112

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55131

  • GSK Investigational Site

    Mannheim, Baden-Wurttemberg, 68161

  • GSK Investigational Site

    Rhaunen, Rhineland-Palatinate, 55624

  • GSK Investigational Site

    Rudersberg, Baden-Wurttemberg, 73635

  • GSK Investigational Site

    Weinheim, Baden-Wurttemberg, 69469

  • GSK Investigational Site

    Wolmirstedt, Saxony-Anhalt, 39326

Other trials in Germany

United Kingdom5 sites
  • GSK Investigational Site

    Buckshaw Village, Chorley, Lancashire, PR7 7NA

  • GSK Investigational Site

    Clydebank, Glasgow, G81 2DR

  • GSK Investigational Site

    Edgbaston, Birmingham, B15 2SQ

  • GSK Investigational Site

    Reading, Berkshire, RG2 0TG

  • GSK Investigational Site

    Waterloo, Liverpool, L22 0LG

Other trials in United Kingdom

Sweden3 sites
  • GSK Investigational Site

    Eskilstuna, SE-631 88

  • GSK Investigational Site

    Karlskrona, SE-371 41

  • GSK Investigational Site

    Uppsala, SE-751 85

Other trials in Sweden

Netherlands2 sites
  • GSK Investigational Site

    Rotterdam, 3011 EN

  • GSK Investigational Site

    Rotterdam, 3015 GE

Other trials in Netherlands

About this study

Official title: Observer Blind Immunogenicity and Safety Study of GlaxoSmithKline Biologicals' Influenza Vaccine GSK576389A With Various Formulations in Adults Aged 65 Years and Above

In order to find the formulation leading to a maximal increase of the immune response while maintaining an acceptable safety profile, this study is designed to evaluate the immunogenicity, safety and reactogenicity of the different formulations of GSK Biologicals' influenza vaccine administered in adults aged 65 years and older compared to Fluarix.

Read the detailed description

There are 10 parallel groups: 9 observer blinded groups with subjects 65 years and older receiving an investigational vaccine or Fluarix, and 1 open group with subjects between 18 and 40 years old receiving Fluarix. CMI response will be determined for a subset only.

The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

Conditions
Influenza
Being tested
GlaxoSmithKline Biologicals' influenza vaccine GSK576389A, Fluarix
Keywords
Influenza vaccine GSK576389A, Influenza infection, Fluarix
Medical subject headings
Influenza, Human

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GlaxoSmithKline Biologicals' influenza vaccine GSK576389ABiological

    Single dose, Intramuscular injection, 8 different formulations were tested (one per group)

  • FluarixBiological

    Single dose, Intramuscular injection

Study groups in NCT00540592
Study groupRoleWhat they receive
Influenza vaccine GSK576389A formulation 1 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 1 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 2 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 2 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 3 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 3 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 4 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 4 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 5 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 5 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 6 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 6 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 7 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 7 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Influenza vaccine GSK576389A formulation 8 GroupExperimentalSubjects aged ≥65 years received one dose of formulation 8 of the adjuvanted influenza vaccine GSK576389A.
Receives: Biological: GlaxoSmithKline Biologicals' influenza vaccine GSK576389A
Fluarix elderly GroupActive comparatorSubjects aged ≥65 years received one dose of Fluarix vaccine.
Receives: Biological: Fluarix
Fluarix young GroupActive comparatorSubjects aged 18-40 years received one dose of Fluarix vaccine.
Receives: Biological: Fluarix

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Haemagglutination Inhibition (HI) Antibody Titers

    Antibody titers were expressed as Geometric mean titers (GMTs) against each of the 3 vaccine strains in greater than or equal to 65 years age groups only. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 21

Secondary outcomes (21)
  1. HI Antibody Titers at Day 0 and Day 21

    Antibody titers were expressed as GMTs in all the vaccine groups. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 0 and 21

  2. HI Antibody Titers at Day 180

    Antibody titers were expressed as GMTs in all the vaccine groups. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  3. The Number of Subjects Seroconverted to HI Antibodies at Day 21

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 21

  4. The Number of Subjects Seroconverted to HI Antibodies at Day 180

    A seroconverted subject was defined as a subject who had either a pre-vaccination titer below 1:10 and a post-vaccination titer greater than or equal to 1:40 or a pre-vaccination titer greater than or equal to 1:10 and at least a 4-fold increase in post-vaccination titer. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  5. HI Antibody Seroconversion Factors at Day 21

    Seroconversion factors were defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 21

  6. HI Antibody Seroconversion Factors at Day 180

    Seroconversion factors were defined as the fold increase in serum HI GMTs post-vaccination compared to Day 0. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  7. The Number of Subjects Seroprotected to HI Antibodies at Day 0 and 21

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 0 and 21

  8. The Number of Subjects Seroprotected to HI Antibodies at Day 180

    A seroprotected subject was defined as a subject with a serum HI titer greater than or equal to 1:40 that usually is accepted as indicating protection. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  9. The Geometric Mean (GM) Number of Influenza-specific CD4 T-cells Per Million CD4+ T-cells for Each Vaccine Strain Producing at Least Two Different Immune Markers or Producing Each of the Immune Markers Plus Another Immune Marker at Days 0 and 21

    The markers assessed were Cluster of Differentiation 4-All doubles i.e. CD4-All doubles, CD4-CD40Ligand(L), CD4-interferon gamma (CD4-IFNγ), CD4-interleukin 2 (CD4-IL2) and CD4-tumor necrosis factor alpha (CD4-TNFα). The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Days 0 and 21

  10. The GM Number of Influenza-specific CD4 T-cells Per Million CD4+ T-cells for Each Vaccine Strain Producing at Least Two Different Immune Markers or Producing Each of the Immune Markers Plus Another Immune Marker at Day 180

    The markers assessed were CD4-All doubles, CD4-CD40L, CD4-IFNγ, CD4-IL2 and CD4-TNFα. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  11. The GM Number of Influenza-specific CD8 T-cells Per Million CD8+ T-cells for Each Vaccine Strain Producing at Least Two Different Immune Markers or Producing Each of the Immune Markers Plus Another Immune Marker at Days 0 and 21

    The markers assessed were Cluster of Differentiation 8-All doubles i.e. CD8-All doubles, CD8-CD40L, CD8-IFNγ, CD8-IL2 and CD8-TNFα. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Days 0 and 21

  12. The GM Number of Influenza-specific CD8 T-cells Per Million CD8+ T-cells for Each Vaccine Strain Producing at Least Two Different Immune Markers or Producing Each of the Immune Markers Plus Another Immune Marker at Day 180

    The markers assessed were CD8-All doubles, CD8-CD40L, CD8-IFNγ, CD8-IL2 and CD8-TNFα. The vaccine strains included A/Solomon Islands, A/Wisconsin and B/Malaysia antigens.

    Measured: At Day 180

  13. Number of Subjects Reporting Any and Grade 3 Solicited Local Adverse Events (AEs)

    Grade 3 ecchymosis, pain, redness and swelling was greater than 100 millimeter (mm) i.e. > 100 mm and grade 3 pain was considerable pain at rest that prevented normal everyday activities. Any was occurrence of any local symptom regardless of their intensity grade. Any for ecchymosis, redness and swelling was >20mm.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  14. Duration of Solicited Local AEs

    Duration was defined as number of days with any grade of local symptoms.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  15. Number of Subjects Reporting Any, Grade 3 and Related Solicited General AEs

    Any Fever was defined as axillary temperature greater than or equal to 38.0 degree centigrade i.e.≥ 38.0°C, grade 3 fever was axillary temperature >40°C. For other symptoms, any was defined as occurrence of any general symptom regardless of intensity grade or relation to vaccination and grade 3 was defined as a general symptom that prevented normal activity. Related was a general symptom assessed by the investigator as causally related to the study vaccination.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  16. Duration of Solicited General AEs

    Duration was defined as number of days with any grade of general symptoms.

    Measured: During a 7-day follow-up period (Day 0-6) after vaccination

  17. Number of Subjects Reporting Any, Grade 3 and Related Unsolicited AEs

    Unsolicited AE covers any AE reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as occurrence of any unsolicited symptom regardless of intensity grade or relation to vaccination. Grade 3 was an event that prevented normal activities and related was defined as an unsolicited AE assessed by the investigator to be causally related to the study vaccination.

    Measured: During a 21-day follow-up period (Day 0-20) after vaccination

  18. Number of Subjects Reporting Any, Grade 3 and Related Adverse Events Resulting in Medically Attended Visit Between Day 0 and Day 20

    For each solicited and unsolicited AE the subject experienced, the subject was asked if they had received medical attention defined as hospitalization, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and grade 3 was defined as a symptom that prevented normal activity. Related was a symptom assessed by the investigator as causally related to the study vaccination.

    Measured: Between Day 0 and Day 20 after vaccination

  19. Number of Subjects Reporting Any, Grade 3 and Related Adverse Events Resulting in Medically Attended Visit Between Day 21 and Day 179

    For each solicited and unsolicited AE the subject experienced, the subject was asked if they had received medical attention defined as hospitalization, an emergency room visit or a visit to or from medical personnel (medical doctor) for any reason. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and grade 3 was defined as a symptom that prevented normal activity. Related was a symptom assessed by the investigator as causally related to the study vaccination.

    Measured: Between Day 21 and Day 179 after vaccination

  20. Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) Between Day 0 and Day 20

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and related was an event assessed by the investigator as causally related to the study vaccination.

    Measured: Between Day 0 and Day 20 after vaccination

  21. Number of Subjects Reporting Any and Related Serious Adverse Events (SAEs) Between Day 21 and Day 179

    SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in disability/incapacity or are a congenital anomaly/birth defect in the offspring of a study subject. Any was defined as occurrence of any symptom regardless of intensity grade or relation to vaccination and related was an event assessed by the investigator as causally related to the study vaccination.

    Measured: Between Day 21 and Day 179 after vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Oct 2007 (estimated)
  2. Study start8 Oct 2007
  3. Primary completion10 Jun 2008
  4. Study completion10 Jun 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
2,007 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00540592
Sponsor's protocol ID
110847
Status last verified
Oct 2016
First submitted
5 Oct 2007
Last updated
8 Jun 2018
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Rumke HC, Richardus JH, Rombo L, Pauksens K, Plassmann G, Durand C, Devaster JM, Dewe W, Oostvogels L. Selection of an adjuvant for seasonal influenza vaccine in elderly people: modelling immunogenicity from a randomized trial. BMC Infect Dis. 2013 Jul 26;13:348. doi: 10.1186/1471-2334-13-348.

    PubMed 23890405

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GlaxoSmithKline Biologicals' influenza vaccine GSK576389A and Fluarix in people with Influenza, run by GlaxoSmithKline at 30 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in Germany, United Kingdom, Sweden, Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 May 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Haemagglutination Inhibition (HI) Antibody Titers (time frame: At Day 21). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00540592, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jun 2018.

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